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NEUROLOGY CENTER OF KENOSHA S.C. NPI 1144327792


NPI Information

NPI: 1144327792
Provider Name: NEUROLOGY CENTER OF KENOSHA, S.C.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
704 55TH ST
KENOSHA, WI
ZIP 53140
Phone: (262) 656-8888
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NEUROLOGY CENTER OF KENOSHA, S.C. is a neurology psychiatry neurology in Kenosha, WI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROLOGY CENTER OF KENOSHA, S.C. NPI is 1144327792. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 55TH ST
KENOSHA, WI
ZIP 53140-732
Phone: (262) 656-8888
Fax: (262) 656-8892

The provider's authorized official is Robert Walter Jones .
The authorized official title is President and has the following contact phone number (262) 656-8888.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology29016WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10500018OTHERWISCONSINUNITEDHEALTHCARE
231381100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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